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DBS: a compelling example for ethical and legal reflection—a French perspective on ethical and legal concerns about DBS

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Abstract

Deep brain stimulation (DBS) is an approved treatment for neurological diseases and a promising one for psychiatric conditions, which may produce spectacular results very quickly. It is also a powerful tool for brain research and exploration. Beyond an overview of the ethical and legal literature on this topic, this paper aims at showing that DBS is a compelling example for ethical-legal reflection, as it combines a highly technical surgical procedure, a complex active medical device and neuromodulation of the human brain to restore lost abilities caused by a chronic and evolving disease. Some of the ethical and legal issues raised by DBS are not specific, but shed new light on medical ethics and law. Others are more DBS-specific, as they are linked to the intricacies of research and treatment, to the need to tune the device, to the patients’ control over the device and its effects and to the involvement of family caregivers.

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  1. NormaStim Program ANR14-CE30-0016, University of Nantes (UMR 6297 DCS), Nantes, France

    Sonia Desmoulin-Canselier

  2. Laboratoire Droit et Changement Social, UMR CNRS 6297: Faculté de Droit de Nantes, Chemin de la Censive du Tertre, BP 8130744 313, Nantes Cedex 3, France

    Sonia Desmoulin-Canselier

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Desmoulin-Canselier, S. DBS: a compelling example for ethical and legal reflection—a French perspective on ethical and legal concerns about DBS. Monash Bioeth. Rev. 38, 15–34 (2020). https://doi.org/10.1007/s40592-020-00111-3

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